MetaAnalysis

Meta-Analysis

This task view covers packages which include facilities for meta-analysis of summary statistics from primary studies. The task view does not consider the meta-analysis of individual participant data (IPD) which can be handled by any of the standard linear modelling functions but does include some packages which offer special facilities for IPD.

The standard meta-analysis model is a form of weighted least squares and so any of the wide range of R packages providing weighted least squares would in principle be able to fit the model. The advantage of using a specialised package is that (a) it takes care of the small tweaks necessary (b) it provides a range of ancillary functions for displaying and investigating the model. Where the model is referred to below it is this model which is meant.

Where summary statistics are not available a meta-analysis of significance levels is possible. This is not completely unconnected with the problem of adjustment for multiple comparisons but the packages below which offer this, chiefly in the context of genetic data, also offer additional functionality.

Univariate meta-analysis

Preparing for meta-analysis

  • The primary studies often use a range of statistics to present their results. Convenience functions to convert these onto a common metric are presented by: compute.es which converts from various statistics to d, g, r, z and the log odds ratio, MAc which converts to correlation coefficients, MAd which converts to mean differences, and metafor which converts to effect sizes an extensive set of measures for comparative studies (such as binary data, person years, mean differences and ratios and so on), for studies of association (a wide range of correlation types), for non-comparative studies (proportions, incidence rates, and mean change). It also provides for a measure used in psychometrics (Cronbach's alpha). esc provides a range of effect size calculations with partial overlap with metafor but with some extras, noticeably for converting test statistics, also includes a convenience function for collating its output for input to another package like metafor or producing a CSV file. effsize contains functions to compute effect sizes mean difference (Cohen's d and Hedges g), dominance matrices (Cliff's Delta) and stochastic superiority (Vargha-Delaney A).
  • meta provides functions to read and work with files output by RevMan 4 and 5.
  • metagear provides many tools for the systematic review process including screening articles, downloading the articles, generating a PRISMA diagram, and some tools for effect sizes.
  • metavcov computes the variance-covariance matrix for multivariate meta-analysis when correlations between outcomes can be provided but not between treatment effects
  • metafuse uses a fused lasso to merge covariate estimates across a number of independent datasets.

Fitting the model

  • Four packages provide the inverse variance weighted, Mantel-Haenszel, and Peto methods: epiR, meta, metafor, and rmeta.
  • For binary data metafor provides the binomial-normal model.
  • For sparse binary data exactmeta provides an exact method which does not involve continuity corrections.
  • Packages which work with specific effect sizes may be more congenial to workers in some areas of science MAc and metacor which provide meta-analysis of correlation coefficients and MAd which provides meta-analysis of mean differences. MAc and MAd provide a range of graphics. psychometric provides an extensive range of functions for the meta-analysis of psychometric studies.
  • Bayesian approaches are contained in various packages. bspmma which provides two different models: a non-parametric and a semi-parametric. Graphical display of the results is provided. metamisc provides a method with priors suggested by Higgins. mmeta provides meta-analysis using beta-binomial prior distributions. A Bayesian approach is also provided by bmeta which provides forest plots via forestplot and diagnostic graphical output. bayesmeta also provides a Bayesian approach with forest plots via metafor and diagnostic graphical output.
  • Some packages concentrate on providing a specialised version of the core meta-analysis function without providing the range of ancillary functions. These are: gmeta which subsumes a very wide variety of models under the method of confidence distributions and also provides a graphical display, metaLik which uses a more sophisticated approach to the likelihood, metamisc which as well as the method of moments provides two likelihood-based methods, and metatest which provides another improved method of obtaining confidence intervals.
  • metagen provides a range of methods for random effects models and also facilities for extensive simulation studies of the properties of those methods.
  • metaplus fits random effects models relaxing the usual assumption that the random effects have a normal distribution by providing t or a mixture of normals.
  • ratesci fits random effects models to binary data using a variety of methods for confidence intervals.
  • RandMeta estimates exact confidence intervals in random effects models using an efficient algorithm.
Graphical methods

An extensive range of graphical procedures is available.

  • Forest plots are provided in forestmodel (using ggplot2), forestplot, meta, metafor and rmeta. Although the most basic plot can be produced by any of them they each provide their own choice of enhancements.
  • Funnel plots are provided in meta, metafor, psychometric and rmeta. In addition to the standard funnel plots an enhanced funnel plot to assess the impact of extra evidence is available in extfunnel, a funnel plot for limit meta-analysis in metasens, and metaviz provides funnelt plots in the context of visual inference.
  • Radial (Galbraith) plots are provided in meta and metafor,
  • L'Abbe plots are provided in meta and metafor,
  • Baujat plots are provided in meta and metafor
  • metaplotr provides a crosshair plot
  • MetaAnalyser provides an interactive visualisation of the results of a meta-analysis.
  • metaviz provides rainforestplots, an enhanced version of forest plots. It accepts input from metafor.
Investigating heterogeneity
  • Confidence intervals for the heterogeneity parameter are provided in metafor and metagen.
  • altmeta presents a variety of alternative methods for measuring and testing heterogeneity with a focus on robustness to outlying studies.
  • hetmeta calculates some extra measures of heterogeneity.
Model criticism
  • An extensive series of plots of diagnostic statistics is provided in metafor,
  • metaplus provides outlier diagnostics.
  • ConfoundedMeta conducts a sensitivity analysis to estimate the proportion of studies with true effect sizes above a threshold.
Investigating small study bias

The issue of whether small studies give different results from large studies has been addressed by visual examination of the funnel plots mentioned above. In addition:

  • meta and metafor provide both the non-parametric method suggested by Begg and Mazumdar and a range of regression tests modelled after the approach of Egger.
  • xmeta provides a method in the context of multivariate meta-analysis.
  • An exploratory technique for detecting an excess of statistically significant studies is provided by PubBias.
Unobserved studies

A recurrent issue in meta-analysis has been the problem of unobserved studies.

  • Rosenthal's fail safe n is provided by MAc and MAd. metafor provides it as well as two more recent methods by Orwin and Rosenberg.
  • Duval's trim and fill method is provided by meta and metafor.
  • metasens provides Copas's selection model and also the method of limit meta-analysis (a regression based approach for dealing with small study effects) due to Rücker et al.
  • selectMeta provides various selection models: the parametric model of Iyengar and Greenhouse, the non-parametric model of Dear and Begg, and proposes a new non-parametric method imposing a monotonicity constraint.
  • SAMURAI performs a sensitivity analysis assuming the number of unobserved studies is known, perhaps from a trial registry, but not their outcome.
  • The metansue package allows the inclusion by multiple imputation of studies known only to have a non-significant result.
  • weightr provides facilities for using the weight function model of Vevea and Hedges.
Other study designs
  • SCMA provides single case meta-analysis. It is part of a suite of packages dedicated to single-case designs.
  • joint.Cox provides facilities for the meta-analysis of studies of joint time-to-event and disease progression.
  • metamisc provides for meta-analysis of prognostic studies using the c statistic or the O/E ratio. Some plots are provided.
Meta-analysis of significance values

metap provides some facilities for meta-analysis of significance values. Some of these methods are also provided in some of the genetics packages mentioned below.

Multivariate meta-analysis

Standard methods outlined above assume that the effect sizes are independent. This assumption may be violated in a number of ways: within each primary study multiple treatments may be compared to the same control, each primary study may report multiple endpoints, or primary studies may be clustered for instance because they come from the same country or the same research team. In these situations where the outcome is multivariate:

  • mvmeta assumes the within study covariances are known and as well as fixed effects provides a variety of options for fitting random effects. metafor provides fixed effects and likelihood based random effects model fitting procedures. Both these packages include meta-regression, metafor also provides for clustered and hierarchical models
  • mvtmeta provides multivariate meta-analysis using the method of moments for random effects although not meta-regression,
  • metaSEM provides multivariate (and univariate) meta-analysis and meta-regression by embedding it in the structural equation framework and using OpenMx for the structural equation modelling. It can provide a three-level meta-analysis taking account of clustering and allowing for level 2 and level 3 heterogeneity. It also provides via a two-stage approach meta-analysis of correlation or covariance matrices.
  • xmeta provides various functions for multivariate meta-analysis and also for detecting publication bias.
  • dosresmeta concentrates on the situation where individual studies have information on the dose-response relationship.
  • robumeta provides robust variance estimation for clustered and hierarchical estimates.

Meta-analysis of studies of diagnostic tests

A special case of multivariate meta-analysis is the case of summarising studies of diagnostic tests. This gives rise to a bivariate, binary meta-analysis with the within-study correlation assumed zero although the between-study correlation is estimated. This is an active area of research and a variety of methods are available including what is referred to here called Reitsma's method, and the heirarchical summary receiver operating characteristic (HSROC) method. In many situations these are equivalent.

  • mada provides various descriptive statistics and univariate methods (diagnostic odds ratio and Lehman model) as well as the bivariate method due to Reitsma. In addition meta-regression is provided. A range of graphical methods is also available.
  • HSROC provides HSROC with estimation in a Bayesian framework. Graphical methods are provided. The case of imperfect reference standards is catered for.
  • Metatron provides a method for the Reitsma model incuding the case of an imperfect reference standard
  • metamisc provides the method of Riley which estimates a common within and between correlation. Graphical output is also provided.
  • bamdit provides Bayesian meta-analysis with a bivariate random effects model (using JAGS to implement the MCMC method). Graphical methods are provided.
  • meta4diag provides Bayesian inference analysis for bivariate meta-analysis of diagnostic test studies and an extensive range of graphical methods.
  • CopulaREMADA uses a copula based mixed model

Meta-regression

Where suitable moderator variables are available they may be included using meta-regression. All these packages are mentioned above, this just draws that information together.

  • metafor provides meta-regression (multiple moderators are catered for). Various packages rely on metafor to provide meta-regression (meta, MAc, and MAd) and all three of these provide bubble plots.
  • bmeta, metagen, metaLik, metaSEM, and metatest also provide meta-regression.
  • mvmeta provides meta-regression for multivariate meta-analysis as do metafor and metaSEM.
  • mada provides for the meta-regression of diagnostic test studies.

Individual participant data (IPD)

Where all studies can provide individual participant data then software for analysis of multi--centre trials or multi-centre cohort studies should prove adequate and is outside the scope of this task view. Other packages which provide facilities related to IPD are:

  • ipdmeta which uses information on aggregate summary statistics and a covariate of interest to assess whether a full IPD analysis would have more power.
  • ecoreg which is designed for ecological studies enables estimation of an individual level logistic regression from aggregate data or individual data.
  • surrosurv evaluates failure time surrogates in the context of IPD meta-analysis

Network meta-analysis

Also known as multiple treatment comparison. This is a very active area of research and development. Note that some of the packages mentioned above under multivariate meta-analysis can also be used for network meta-analysis with appropriate setup.

This is provided in a Bayesian framework by gemtc, which acts as a front-end to BUGS or JAGS, and pcnetmeta, which uses JAGS. nmaINLA uses integrated nested Laplace approximations as an alternative to MCMC.It provides a number of data-sets. netmeta works in a frequentist framework. Both pcnetmeta and netmeta provide network graphs and netmeta provides a heatmap for displaying inconsistency and heterogeneity.

Genetics

There are a number of packages specialising in genetic data: CPBayes uses a Bayesian approach to study cross-pheotype genetic associations, EasyStrata for startified GWAS meta-analysis with graphics, etma proposes a new statistical method to detect epistasis, gap combines p-values, getmstatistic quantifies systematic heterogeneity, MetABEL provides meta-analysis of genome wide SNP association results, MetaDE provides microarray meta-analysis of differentially expressed dene detection, MetaIntegrator provides an extensive set of functions for genetic studies, metaMA provides meta-analysis of p-values or moderated effect sizes to find differentially expressed genes, MetaPath performs meta-analysis for pathway enrichment, MetaPCA provides meta-analysis in the dimension reduction of genomic data, MetaQC provides objective quality control and inclusion/exclusion criteria for genomic meta-analysis, metaRNASeq meta-analysis from multiple RNA sequencing experiments, MultiMeta for meta-analysis of multivariate GWAS results with graphics, designed to accept GEMMA format, MetaSKAT, seqMeta, provide meta-analysis for the SKAT test.

Others

CRTSize provides meta-analysis as part of a package primarily dedicated to the determination of sample size in cluster randomised trials in particular by simulating adding a new study to the meta-analysis.

CAMAN offers the possibility of using finite semiparametric mixtures as an alternative to the random effects model where there is heterogeneity. Covariates can be included to provide meta-regression.

RcmdrPlugin.EZR provides an interface via the Rcmdr GUI using meta and metatest to do the heavy lifting, RcmdrPlugin.RMTCJags provides an interface for network meta-analysis using BUGS code, and MAVIS provides a shiny interface using metafor, MAc and MAd.

View on CRAN

a month ago

Michael Dewey

Packages

215
651
675
931
939
1353
1355
1366
1420
1597
1981
2043
2180
2245
2368
2856
2916
2956
2998
3237
3313
3365
3461
3552
3584
3675
3825
3925
3929
3975
4026
4173
4180
4198
4421
4536
4667
4669
4877
4880
4881
5054
5055
5197
5397
5415
5458
5460
5470
5575
5659
5669
5684
5780
5805
5841
6049
6421
6524
6822
6852
6940
6982
7350
7359
7603
7661
7742
7892
8027
8274
8458
8521
8606
8722
9016

Discussions